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Individual

DR. PHILIP J JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5584 N SHILOH RD, GARLAND, TX 75044-6614
(214) 210-2911
(214) 210-2209
Mailing address
5584 N SHILOH RD, GARLAND, TX 75044-6614
(214) 210-2911
(214) 210-2209

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
3101
TX
213ES0131X
Foot Surgery Podiatrist
SC006334
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
427781601
TX
Enumeration date
03/09/2010
Last updated
02/17/2025
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